Because the Native American and Alaska Native cultures typically have very high rates of drug abuse, it is essential that alcohol and drug treatment programs be made available to those in Custer, MT. which are culturally appropriate and supply treatment in their language if required. Due to the fact Native Americans and Alaska Natives often use drugs and alcohol because of cultural difficulties, it is evident that these issues may be a problem in treatment. If the rehab program understands these challenges, rehab will progress smoother and there will be a significantly better chance at full rehabilitation. For example, rehab which is supplied in the native tongue of Native Americans and Alaska Natives will ultimately result in much better results for these people in Custer, MT., simply because this will make certain that each and every step of the way is understood by both the individual in treatment and rehab professionals.